Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stephan Broderick

Individual provider Emergency Medicine Physician · NPI 1912434416

Stephan Broderick is an Emergency Medicine in Toledo, Ohio. Graduated from Wayne State University School of Medicine in 2017, 9 years ago. Practices with The Toledo Hospital, a 119-clinician group and accepts Medicare assignment. Licensed in Michigan and Ohio.

Years since qualifying
9
Trained at
Wayne State University School of Medicine
Licensed in
MI, OH
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

2142 N Cove Blvd
Toledo, OH 43606-3895
Phone: (419) 291-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 35.138719 (OH)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 4351039441 (MI)

Record details

NPI number1912434416
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 15, 2017
Last updated in NPPESJune 22, 2020
Certification dateJune 22, 2020
Mailing address5923 Renaissance Pl, Toledo, OH 43623-4709

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice The Toledo Hospital — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Toledo